MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2019-08-28 for SS WHITE ITEM #30025 703 LENGTH 51MM LOT NUMBER: 2017-11-03 manufactured by S.s. White Burs, Inc..
| Report Number | MW5089419 |
| MDR Report Key | 8944644 |
| Date Received | 2019-08-28 |
| Date of Report | 2019-08-26 |
| Date of Event | 2019-04-25 |
| Date Added to Maude | 2019-08-29 |
| Event Key | 0 |
| Report Source Code | Voluntary report |
| Manufacturer Link | N |
| Number of Patients in Event | 0 |
| Adverse Event Flag | 3 |
| Product Problem Flag | 3 |
| Reprocessed and Reused Flag | 3 |
| Reporter Occupation | PHARMACIST |
| Health Professional | 3 |
| Initial Report to FDA | 3 |
| Report to FDA | 3 |
| Event Location | 3 |
| Single Use | 3 |
| Previous Use Code | 3 |
| Event Type | 3 |
| Type of Report | 0 |
| Brand Name | SS WHITE ITEM #30025 703 LENGTH 51MM LOT NUMBER: 2017-11-03 |
| Generic Name | BUR, DENTAL |
| Product Code | EJL |
| Date Received | 2019-08-28 |
| Model Number | ITEM #30025 |
| Lot Number | 2017-11-03 |
| Operator | HEALTH PROFESSIONAL |
| Device Availability | N |
| Device Eval'ed by Mfgr | * |
| Device Sequence No | 1 |
| Device Event Key | 0 |
| Manufacturer | S.S. WHITE BURS, INC. |
| Patient Number | Treatment | Outcome | Date |
|---|---|---|---|
| 1 | 0 | 2019-08-28 |